Arizona Health Insurance 584 Exam
Questions
Under the Legal Actions Provision, the insured must wait __________, but not
later than __________ after proof of loss, before legal action can be brought
against the company. - Correct Answer ✔️✔️60 days/2 years
Change of Beneficiary Provision - Correct Answer ✔️✔️stipulates that the
policy owner may change the beneficiary at any time by providing a written
request to the insurer, unless the beneficiary is designated as irrevocable.
When changing the beneficiary on a plan, the consent of the __________ is not
required. - Correct Answer ✔️✔️beneficiary
The Affordable Care Act requires that all health care plans include the following
essential benefits: - Correct Answer ✔️✔️- ambulatory patient services
- emergency services
- hospitalization
- maternity and newborn care
,- mental health and substance use disorder services, including behavioral health
treatment
- prescription drugs
- rehabilitative and habilitative services and devices
- laboratory services
- preventive and wellness services and chronic disease management
- pediatric services, including oral and vision care
Optional Change of Occupation Provision - Correct Answer ✔️✔️a
provision that allows the insurer to adjust benefits if the insured changes
occupations, because the occupation of the insured is an important
underwriting consideration
Optional Misstatement of Age/Sex Provision - Correct Answer ✔️✔️if the
insured misstated their age or gender at the time of the application, the
benefits paid under the policy would be adjusted to what the premium paid
would have been purchased at the correct age/gender
,If the insured has 2 or more policies from different companies that provide
benefits on an __________, and the policies cover the same expenses, and if the
insurance companies were not notified that the other coverage existed, then
each insurer will pay a proportionate share of any claim. - Correct Answer ✔
️✔️expense-incurred basis
The insurer may cancel an accident and health policy by providing at least
__________ written notice. - Correct Answer ✔️✔️30 days
If the policy has been continued beyond its original term, the __________ may
cancel the policy at any time- effective on receipt of written notice. In these
situations, the insurer will return any unearned premiums. - Correct Answer
✔️✔️insured
Optional Conformity with State Statutes Provision - Correct Answer ✔️✔
️states that any provision of the policy which, on its effective date, is in
conflict with the statutes of the state in which the insured resides on that date,
is automatically amended to conform to the minimum requirement of the
statutes. Although this is an optional provision, most states require that it be
included in every health insurance contract issued.
, Optional Intoxicants and Narcotics Provision - Correct Answer ✔️✔
️excludes coverage of any injury or sickness that results from the insured's
intoxication (except in the case of drugs administered by a physician)
Free-Look/Right to Examine Provision - Correct Answer ✔️✔️allows the
insured a period of several days to look over the policy, and if dissatisfied for
any reason, return it for a full refund
How long is a typical free-look/right to examine period? - Correct Answer ✔
️✔️10 days from the date the policy is delivered, but may vary for different
types of policies
Insuring Clause - Correct Answer ✔️✔️a general statement that identifies
the basic agreement between the insurance company and the insured and
states what kind of loss (peril) is covered, usually located on the first page
Consideration Clause - Correct Answer ✔️✔️makes it clear that both
parties to the contract must give some valuable consideration; the payment of
the premium and the statements in the application are the consideration given
by the applicant, the insurers consideration is the promise to pay in accordance
with the contract terms
Questions
Under the Legal Actions Provision, the insured must wait __________, but not
later than __________ after proof of loss, before legal action can be brought
against the company. - Correct Answer ✔️✔️60 days/2 years
Change of Beneficiary Provision - Correct Answer ✔️✔️stipulates that the
policy owner may change the beneficiary at any time by providing a written
request to the insurer, unless the beneficiary is designated as irrevocable.
When changing the beneficiary on a plan, the consent of the __________ is not
required. - Correct Answer ✔️✔️beneficiary
The Affordable Care Act requires that all health care plans include the following
essential benefits: - Correct Answer ✔️✔️- ambulatory patient services
- emergency services
- hospitalization
- maternity and newborn care
,- mental health and substance use disorder services, including behavioral health
treatment
- prescription drugs
- rehabilitative and habilitative services and devices
- laboratory services
- preventive and wellness services and chronic disease management
- pediatric services, including oral and vision care
Optional Change of Occupation Provision - Correct Answer ✔️✔️a
provision that allows the insurer to adjust benefits if the insured changes
occupations, because the occupation of the insured is an important
underwriting consideration
Optional Misstatement of Age/Sex Provision - Correct Answer ✔️✔️if the
insured misstated their age or gender at the time of the application, the
benefits paid under the policy would be adjusted to what the premium paid
would have been purchased at the correct age/gender
,If the insured has 2 or more policies from different companies that provide
benefits on an __________, and the policies cover the same expenses, and if the
insurance companies were not notified that the other coverage existed, then
each insurer will pay a proportionate share of any claim. - Correct Answer ✔
️✔️expense-incurred basis
The insurer may cancel an accident and health policy by providing at least
__________ written notice. - Correct Answer ✔️✔️30 days
If the policy has been continued beyond its original term, the __________ may
cancel the policy at any time- effective on receipt of written notice. In these
situations, the insurer will return any unearned premiums. - Correct Answer
✔️✔️insured
Optional Conformity with State Statutes Provision - Correct Answer ✔️✔
️states that any provision of the policy which, on its effective date, is in
conflict with the statutes of the state in which the insured resides on that date,
is automatically amended to conform to the minimum requirement of the
statutes. Although this is an optional provision, most states require that it be
included in every health insurance contract issued.
, Optional Intoxicants and Narcotics Provision - Correct Answer ✔️✔
️excludes coverage of any injury or sickness that results from the insured's
intoxication (except in the case of drugs administered by a physician)
Free-Look/Right to Examine Provision - Correct Answer ✔️✔️allows the
insured a period of several days to look over the policy, and if dissatisfied for
any reason, return it for a full refund
How long is a typical free-look/right to examine period? - Correct Answer ✔
️✔️10 days from the date the policy is delivered, but may vary for different
types of policies
Insuring Clause - Correct Answer ✔️✔️a general statement that identifies
the basic agreement between the insurance company and the insured and
states what kind of loss (peril) is covered, usually located on the first page
Consideration Clause - Correct Answer ✔️✔️makes it clear that both
parties to the contract must give some valuable consideration; the payment of
the premium and the statements in the application are the consideration given
by the applicant, the insurers consideration is the promise to pay in accordance
with the contract terms
